A Regional Blue Plan: Optimized End-to-End Risk Adjustment Process
At a Glance
Challenge
- Significant overhead and difficulties in managing multiple vendors
- Quality issues due to multiple hand-offs and touchpoints
Solution
- Simplified end-to-end risk adjustment process
- Analytics solution to target the optimal chases
- Knowledge of provider data retrieval preferences to enhance retrieval yield
- Seamless chart retrieval and coding operations
- Dedicated account manager
Results
- Higher program return on investment
- Lower risk adjustment spend
- Simplified risk adjustment experience
- Lower provider abrasion